GREAT LAKES RECOVERY CENTERS
NPI 1104571900
Clinic/Center - Rehabilitation, Substance Use Disorder in Negaunee, MI
About Great Lakes Recovery Centers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES RECOVERY CENTERS (NPI 1104571900) is a healthcare organization registered as a rehabilitation, substance use disorder in Negaunee, Michigan and active in the NPI registry since February 2022. The organization lists Greg Miles Toutant, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Recovery Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Great Lakes Recovery Centers, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Negaunee, MI 49866
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Great Lakes Recovery Centers's NPI number?
The NPI number for Great Lakes Recovery Centers is 1104571900. It was assigned to this organization in the NPPES registry on February 21, 2022. The provider is also known as Negaunee Service Center.
Where is Great Lakes Recovery Centers located?
Great Lakes Recovery Centers is located at 100 Malton Rd Suites 1, 2, 3, 4, 5, 6, 7, & 8, Negaunee, MI 49866. The listed phone number is (906) 464-0002.
What is Great Lakes Recovery Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is Great Lakes Recovery Centers enrolled in Medicare?
Yes. Great Lakes Recovery Centers is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Recovery Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Lakes Recovery Centers. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (2) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Lakes Recovery Centers was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Great Lakes Recovery Centers · NPI 1104571900
Rehabilitation, Substance Use Disorder organization in Negaunee, Michigan. Organization record, active in the CMS NPPES registry since February 21, 2022.
## Identity
- **NPI:** 1104571900 (Entity type: Organization)
- **Enumerated:** February 21, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Negaunee Service Center (Other Name)
- **Organization subpart:** No
- **Authorized official:** Greg Toutant, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 100 MALTON RD, SUITES 1, 2, 3, 4, 5, 6, 7, & 8, Negaunee, MI 49866
- **Phone:** (906) 464-0002 · **Fax:** (906) 464-4043
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (2), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104571900) · Data from the CMS NPPES public registry.